PERSEPSI WANITA PEKERJA SEKS TENTANG HIV/AIDS DAN VCT (VOLUNTARY COUNSELING AND TESTING) DENGAN PEMANFAATAN VCT DI KLINIK INTAN KOTA CIREBON

WATI PRIHASTUTI, DR. Dra. Sumarni DW, M.Kes; Prof. dr. Djaswadi Dasuki, Sp.OG(K), MPH, Ph.D

2015 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Voluntary Counseling and Testing (VCT) merupakan suatu program deteksi dini penyakit HIV dan perawatan Human Immunodeficiency Virus (HIV). Untuk mendukung program VCT, di Kota Cirebon telah memiliki klinik VCT untuk mengelola khusus masalah Infeksi Menular Seksual (IMS) dan HIV/AIDS (Acquired Immuno Deficiency Syndrome) yaitu Klinik Intan. Tindakan deteksi dini merupakan tindakan sukarela oleh karena itu diperlukan persepsi positif dari wanita pekerja seks terhadap penyakit HIV/AIDS dan VCT. Apabila persepsi yang salah terhadap penyakit HIV/AIDS dan VCT dari Wanita Pekerja Seks (WPS) akan menyebabkan ketakutan, ketertutupan, dan keterbatasan terhadap pemanfaatan klinik VCT. Tujuan Penelitian: Untuk mengetahui hubungan persepsi WPS terhadap HIV/AIDS dan VCT dengan pemanfaatan VCT di Klinik VCT Kota Cirebon Tahun 2014 Metode Penelitian: Penelitian ini menggunakan jenis penelitian kuantitatif dengan rancangan cross sectional Study dan jenis penelitian kualitatif dengan pendekatan mix methode. Mengikutsertakan 152 WPS dengan analisa univariat, bivariat menggunakan chi square (α < 0,05) dan multivariabel logistic regression model untuk mengetahui hubungan persepsi WPS tentang HIV/AIDS dan VCT dengan pemanfaatan VCT, dengan menampilkan nilai odds ratio dan 95% confidence interval. Hasil : Penelitian ini mengikutsertakan 152 WPS. Hasil analisis menunjukan bahwa terdapat hubungan yang bermakna antara persepsi WPS tentang HIV/AIDS dan VCT dengan pemanfaatan VCT. Setelah mempertimbangkan variabel luar (pengetahuan, keterpaparan informasi, dukungan sosial, lama menjadi WPS dan umur WPS). Hasil uji logistik regresi persepsi (X2 = 38,8, OR = 9,8 dan 95% CI = 4,56-20,97), persepsi dengan mempertimbangkan pengetahuan (OR = 4,9 dan 95% CI= 1,98-12,48), persepsi dengan mempertimbangkan paparan informasi (OR = 11 dan 95% CI= 4,08-29,55), persepsi dengan mempertimbangkan lama menjadi WPS (OR = 8,7 dan 95% CI= 4,01-18,98), dan persepsi dengan mempertimbangkan umur WPS (OR = 8,1 dan 95% CI= 8,70-17,38), menunjukkan pemanfaatan VCT. Kesimpulan : Persepsi WPS terhadap HIV/AIDS dan VCT yang tinggi akan lebih memanfaatkan pelayanan VCT. Persepsi WPS terhadap HIV/AIDS dan VCT mempunyai hubungan bermakna dengan pemanfaatan pelayanan VCT.

Background: VCT (Voluntary Counseling and Testing) is a program of early detection and treatment of HIV disease. To support the VCT program, the city of Cirebon has a VCT clinic to manage special problems of sexually transmitted infections (STIs) and HIV / AIDS named Intan Clinic. Early detection is the act of voluntary action therefore it needs positive perception of female sex workers against HIV / AIDS and VCT. If FSWs have wrong perception of HIV / AIDS and VCT it will cause fear, aloofness, and limitations on the utilization of VCT clinics. Objective: To determine the relationship between perception of Female Sex Workers (FSW) to HIV / AIDS and VCT with a VCT clinic utilization of VCT in Cirebon in 2014 Methods: This study included 152 FSWs. This research methods with quantitative research used cross sectional study design and qualitative research. Univariat analysis, bivariat analysis with chi square (α < 0,05) and multivariate analysis with logistic regression models determine the relationship of Female Sex Workers perception on HIV/AIDS and VCT with the use of VCT, by displaying the value of the odds ratios and 95% confidence intervals. The second research method with that is used to describe things that can not be described in quantitative about the perception of the relationship WPS against HIV / AIDS and VCT, and the use of VCT. Results:. Results of the analysis showed that there is a significant relationship between the perception of Female Sex Workers on HIV / AIDS and VCT with the use of VCT. After considering the external variables (knowledge, exposure to information, social support, length of time as FSW and FSWs’ age). Results of logistic regression test on perception (X 2, = 38,8, OR = 9.8 and 95% CI = 4.56 to 20.97), taking into account the perception of knowledge (OR = 4.9 and 95% CI = 1.98 to 12.48), perception taking into account the information exposure (OR = 11 and 95% CI = 4.08 to 29.55), the perception by considering length of time as FSW (OR = 8.7 and 95% CI = 4.01 to 18.98), and perception taking into account the age of the FSW’s (OR = 8.1 and 95% CI = 8.70 to 17.38), showing the use of VCT. Conclusion: FSWs’ high perception of HIV / AIDS and VCT will result in more utilization of VCT services. FSWs’ perception of HIV / AIDS and VCT has a significant relationship with the utilization of VCT services.

Kata Kunci : Persepsi Wanita Pekerja Seks tentang HIV/AIDS dan VCT, pengetahuan, keterpaparan informasi, dukungan sosial, lama menjadi WPS, umur WPS dan pemanfaatan VCT